-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LgH8/veuN+ibN2uDSBQ4Qp2HuH6ALfGKgRL0bqd494P+Ru4ACwT4YYPNeXgZg/7H OFz6/16Zw+je1RUHwgcWjw== 0000878897-03-000094.txt : 20030924 0000878897-03-000094.hdr.sgml : 20030924 20030924142130 ACCESSION NUMBER: 0000878897-03-000094 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030922 FILED AS OF DATE: 20030924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORNETTI LOUIS C CENTRAL INDEX KEY: 0001264543 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13154 FILM NUMBER: 03907673 MAIL ADDRESS: STREET 1: 3100 AMS BOULEVARD CITY: GREEN BAY STATE: WI ZIP: 54313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN MEDICAL SECURITY GROUP INC CENTRAL INDEX KEY: 0000878897 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 391431799 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 BUSINESS PHONE: 9206611111 MAIL ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 FORMER COMPANY: FORMER CONFORMED NAME: UNITED WISCONSIN SERVICES INC /WI DATE OF NAME CHANGE: 19930328 3 1 primary_doc.xml PRIMARY DOCUMENT X0201 3 2003-09-22 1 0000878897 AMERICAN MEDICAL SECURITY GROUP INC AMZ 0001264543 FORNETTI LOUIS C 3100 AMS BOULEVARD GREEN BAY WI 54313 1 0 0 0 Louis C. Fornetti 2003-09-23 -----END PRIVACY-ENHANCED MESSAGE-----